ADHD Child NDQ School

Neurodevelopmental Questionnaire - School

This form should be completed by the child’s school representative (ideally a class teacher, form tutor, or SENCO who knows them well). Your responses will assist in understanding the child’s learning, behaviour, and social development

General Information

Child's Full Name:(Required)

Child's Date of Birth:(Required)

School Name and Year Group:(Required)

Name of person completing this questionnaire:(Required)

General Questions

Does the child have an EHCP, IEP, Pupil Passport, or Provision Map (including interventions)?(Required)

Have any other assessments been carried out for the child?(Required)

Does the child have dyspraxia or difficulties with coordination, handwriting, or motor skills?(Required)

Does the child display challenging behaviours?(Required)

Has the child received any exclusions?(Required)

Are there concerns or challenges linked to emotional wellbeing?(Required)

Does the child experience social skills difficulties? If yes, detail any interventions:(Required)

How does the child manage friendships?(Required)

What are the child’s relationships like with adults?(Required)

Inattention

Please provide examples if the child has any of the following difficulties:

Fails to pay close attention to details or makes careless mistakes in schoolwork:(Required)

Has trouble maintaining attention on tasks or play:(Required)

Does not appear to listen when spoken to:(Required)

Struggles to follow instructions and complete work, chores, or tasks (not due to lack of understanding or refusal):(Required)

Has difficulty organising activities and tasks:(Required)

Avoids or dislikes tasks requiring sustained mental effort (e.g., homework, classwork):(Required)

Loses materials needed for activities (e.g., books, pencils, assignments):(Required)

Easily distracted by irrelevant information:(Required)

Forgetful in daily activities:(Required)

Hyperactivity / Impulsivity

Please provide examples if the child has any of the following difficulties

Fidgets or squirms in seat:(Required)

Leaves seat unexpectedly:(Required)

Runs or climbs inappropriately or appears restless:(Required)

Has difficulty engaging in quiet play or leisure activities:(Required)

Appears 'on the go' or driven by a motor:(Required)

Answers questions before they are fully asked:(Required)

Has difficulty waiting for their turn:(Required)

Interrupts or intrudes on others:(Required)

Talks excessively:(Required)

Any additional comments:(Required)

SNAP-IV: Inattention

Often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities(Required)

Often has difficulty sustaining attention in tasks or play activities(Required)

Often does not seem to listen when spoken to directly(Required)

Often does not follow through on instructions and fails to finish schoolwork or duties(Required)

Often has difficulty organising tasks and activities(Required)

Often avoids, dislikes, or is reluctant to engage in tasks requiring sustained mental effort (e.g., schoolwork or homework)(Required)

Often loses things necessary for tasks or activities (e.g., toys, assignments, pencils, books, tools)(Required)

Often is distracted by extraneous stimuli(Required)

Often is forgetful in daily activities(Required)

SNAP-IV: Hyperactivity/Impulsivity

Often fidgets with hands or feet or squirms in seat(Required)

Often leaves seat in classroom or other situations where sitting is expected(Required)

Often runs about or climbs excessively in inappropriate situations(Required)

Often has difficulty playing or engaging in leisure activities quietly(Required)

Often is 'on the go' or acts as if driven by a motor(Required)

Often talks excessively(Required)

Often blurts out answers before questions have been completed(Required)

Often has difficulty awaiting turn(Required)

Often interrupts or intrudes on others (e.g., conversations/games)(Required)

SNAP-IV: Opposition/Defiance

Often loses temper(Required)

Often argues with adults(Required)

Often actively defies or refuses adult requests or rules(Required)

Often deliberately does things to annoy others(Required)

Often blames others for mistakes or misbehaviour(Required)

Often is touchy or easily annoyed by others(Required)

Often is angry or resentful(Required)

Often is spiteful or vindictive(Required)

Clinician Name(Required)

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